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J Orthop Trauma. 2002 May;16(5):340-4.

The application of open intramedullary fixation in the treatment of pediatric radial and ulnar shaft fractures.

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1
1st Orthopaedic and Traumatology Department, Sisli Etfal Research and Training Hospital, Istanbul, Turkey.

Abstract

OBJECTIVES:

This retrospective review evaluates the efficiency of standard intramedullary Kirschner wires for the treatment of unstable diaphyseal forearm fractures in children.

DESIGN:

Retrospective review.

SETTING:

Large teaching and research hospital in Turkey.

PATIENTS:

Thirty-one patients with diaphyseal forearm fractures were treated by surgical method between 1988 and 1998. The mean age was 12.3 years (range 7 to 17 years). The mean follow-up period was 4.2 years (1 to 6.2 years).

INTERVENTION:

The method of treatment of each forearm fracture was open reduction and intramedullary Kirschner wire fixation using a mini-incision.

MAIN OUTCOME MEASUREMENTS:

Fracture union, growth disturbance of the forearm, and complications were evaluated.

RESULTS:

Union was obtained in all cases except two (6.4 percent). No forearm inequality was observed.

CONCLUSIONS:

Intramedullary fixation is a useful technique for unstable shaft fractures of the forearm in children that can not be treated by closed manipulation.

PMID:
11972077
[Indexed for MEDLINE]
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